Provider Demographics
NPI:1215388707
Name:MCGRAIL, RACHAEL (ATC)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:MCGRAIL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3656 GOLDNER LN SW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44481-8604
Mailing Address - Country:US
Mailing Address - Phone:330-307-3784
Mailing Address - Fax:
Practice Address - Street 1:3656 GOLDNER LN SW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44481-8604
Practice Address - Country:US
Practice Address - Phone:330-307-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-26
Last Update Date:2016-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer